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General NPI Number Information
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NPI Number | 1700584653
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Entity Type | Individual
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Provider Name | OLIVIA RAE BOTTINI DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 111 SALEM TPKE
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City | NORWICH
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State | CT
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Zip | 06360-7403
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Country | US
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Telephone | 860-572-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 84 COREY LN
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City | NIANTIC
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State | CT
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Zip | 06357-1335
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Country | US
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Telephone | 860-694-9834
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 013202
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License Number State | CT
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